521 Injury and Exposure (V12)

Question 1

When must a supervisor of an employee who has been injured in the line of duty report the incident by completing an electronic Workers’ Comp claim?
A. Time Frame

Answer 1

B. Reporting an Injury or Exposure to Communicable Diseases in the Line of Duty [CFA 29.02,
FCAC 8.01]
1. Supervisors of employees who are injured in the line of duty (including while supervising an
employee during secondary employment) are required within 24 hours of the incident to
complete an electronic Workers’ Compensation claim which can be found on 94Net via the
“IOD Reporting System” link.

Question 2

If an IOD is reported and no medical treatment is required, will a supervisor still need to complete an IOD claim?

Answer 2

a. The report must be completed even if no medical treatment is required.

Question 3

Supervisors of employees who have been exposed to a communicable disease in the line of duty must complete an electronic “_______________________________”. The report must be completed within _____ hours of the exposure incident, even if no medical treatment is required.
A. Form
B. Time Frame

Answer 3

Supervisors of employees who have been exposed to a communicable disease in the line of duty must complete an electronic “Exposure Incident Report Form” located on the Human Resources – Occupational Health site on 94Net. The report must be completed within 24 hours of the exposure incident, even if no medical treatment is required.

Question 4

Supervisors of employees who test positive for COVID-19 shall complete what within 24 hours?
1.
2.

Answer 4

4. Supervisors of employees who test positive for COVID-19 shall complete an electronic
   Exposure Incident Report for the employee.
   a. If the employee is a police or corrections officer, the supervisor shall also complete an electronic Injury on Duty (IOD) Report within 24 hours.

Question 5

d. A positive COVID-19 test
In order to change SL to IOD status for police and correctional personnel, what must occur?

What other 2 thing must occur after a confirmation of COVID?
1.
2.

Answer 5

d. A positive COVID-19 test result administered by a medical professional is needed to change Sick Leave status to IOD status for police and correctional personnel, as well as civilians who have established a clear nexus.
g. Ensure the employee provides positive test results to the Occupational Health Manager.
h. Ensure the employee’s work area is disinfected (i.e., cleaned/wiped down) in a timely
manner.

Question 6

If someone has experienced an IOD and the system is down, what two forms must be completed within 24 hours of the incident even if medical treatment is not required.
1.
2.

Answer 6

5. If the online system is down, the reports must be obtained from the Human Resources –
   Occupational Health site on 94Net, completed manually and delivered as follows:
   a. Completed copies of Form P-1063 (Supervisor’s Investigation Report of Employee Injury or Illness) and Florida Department of Financial Services Division of Workers’ Compensation First Report of Injury or Illness must be provided to the COJ Workers’ Compensation Division within 24 hours of the incident, even if no medical treatment is
   required. The reports must be faxed to COJ Workers’ Compensation at (904) 255-5347 or (904) 255-5339 within 24 hours of the incident. This is a dedicated fax line for the First Report of Injury Forms. The faxed copies of the forms do not have to be signed by the employees if the employee is unavailable, but must be signed by a supervisor;

Question 7

The Supervisor’s Investigation Report of Employee Injury and First Report of Injury or Illness, will be delivered how and in what time?

Answer 7

Completed copies of
1. Form P-1063 (Supervisor’s Investigation Report of Employee Injury
or Illness)
2. Florida Department of Financial Services Division of Workers’ Compensation First Report of Injury or Illness
b. The original forms shall be hand carried within one working day to the JSO Medical Section designee, PMB Room 303. The originals shall be maintained in the employee’s medical file (Reference: Florida State Statute [F.S.S.] Chapter 440.35);

Question 8

After being treated for a line of duty injury or exposure, what are you to provide and in what time frame to JSO Medical Section?

Answer 8

C. Treatment of Line of Duty Injuries or Exposures [CFA 29.01, 29.02, FCAC 8.01]
1. For an emergency medical condition requiring emergency services and care, as defined
under F.S.S. Chapter 395, employees may immediately seek treatment from the nearest
qualified facility or provider (including any emergency room). All discharge paperwork must
be provided to the JSO Medical Section designee via email (OccupationalHealthManager@jaxsheriff.org), sealed intra-office mail (Occupational Health
Manager), or via fax ([904] 630-4741) within 24 hours of receipt.

Question 9

5. Employees involved in exposure cases which involve needle puncture, lacerations, human
   bites, blood exposure, etc., which require immediate treatment and which have occurred
   after hours or on weekends, should seek treatment immediately at any emergency room.
   Preventative treatment should start within _______________ hours of exposure in order to be
   most effective in lessening the chances of the employee contracting a disease.
   A. Time Frame

Answer 9

5. Employees involved in exposure cases which involve needle puncture, lacerations, human
   bites, blood exposure, etc., which require immediate treatment and which have occurred
   after hours or on weekends, should seek treatment immediately at any emergency room.
   Preventative treatment should start within three to four hours of exposure in order to be
   most effective in lessening the chances of the employee contracting a disease.

Question 10

How often does an employee need to see the Workers’ Comp doctor in order to keep their claim open?

Answer 10

b. Employees must see a Workers’ Compensation doctor annually in order to keep their
claim open.

Question 11

Any request for overtime within these parameters must be approved by the ________________________ or the ______________________________ when seeking treatment for an IOD. Documentation supporting the overtime request (including times being treated) must be submitted to the JSO Medical Section designee (JSO Human Resources, Room 303 PMB).
A. Rank/Position
B. Rank/Position

Answer 11

c. Overtime requests are not authorized for medical appointments relating to Workers’
Compensation injuries outside of regularly scheduled hours unless the employee is receiving initial treatment that goes beyond end of shift, or the employee must be seen by a Workers’ Compensation treating physician the following day which falls on their regular day/time off. Any request for overtime within these parameters must be approved by the Director of Personnel & Professional Standards or the Chief of Human
Resources when seeking treatment for an IOD. Documentation supporting the overtime request (including times being treated) must be submitted to the JSO Medical Section designee (JSO Human Resources, Room 303 PMB).

Question 12

c. Overtime requests are not authorized for medical appointments relating to Workers’
Compensation injuries outside of regularly scheduled hours

What should supervisors do to ensure employees receive treatment during working hours?

Answer 12

d. Supervisors should make every effort to adjust an employee’s work schedule so that the
employee can receive treatment during work hours.

Question 13

E. Blood Tests (Employees) [CFA 29.01, 29.02]
1. Employees who become exposed to a communicable disease in the line of duty shall, upon response to treatment, be offered the option of having their blood collected for testing of the employee’s Human Immunodeficiency Virus (HIV)/Hepatitis B Virus (HBV) serological status. The blood sample shall be preserved for at least ________ days to allow the employee to decide if the blood should be tested for HIV serological status. However, if the employee decides prior to that time that testing shall be conducted, then the appropriate action can be taken and the blood sample discarded.

Answer 13

E. Blood Tests (Employees) [CFA 29.01, 29.02]
1. Employees who become exposed to a communicable disease in the line of duty shall, upon response to treatment, be offered the option of having their blood collected for testing of the employee’s Human Immunodeficiency Virus (HIV)/Hepatitis B Virus (HBV) serological status. The blood sample shall be preserved for at least 90 days to allow the employee to decide if the blood should be tested for HIV serological status. However, if the employee decides prior to that time that testing shall be conducted, then the appropriate action can be taken and the blood sample discarded.

Question 14

c. Requests for temporary limited duty status are generally initiated by the _______________.
Under certain conditions and at the discretion of the affected ______________ or their designee,
employees can be placed on temporary limited duty.
A. Rank
B. Rank

Answer 14

c. Requests for temporary limited duty status are generally initiated by the JSO employee.
Under certain conditions and at the discretion of the affected director or their designee,
employees can be placed on temporary limited duty.

Question 15

(1) The electronic Form SP-1217 (Request for Temporary Medical Limited Duty) is
electronically routed through the ____________________ to the following staff members who shall approve and recommend assignment:
(a) Employee’s ______________;
(b) __________________ – for police only; and
(c) Employee’s __________.
____________________________________________________
A. Rank/Position
B. Rank
C. Rank/Position
D. Rank

Answer 15

(1) The electronic Form SP-1217 (Request for Temporary Medical Limited Duty) is
electronically routed through the chain of command to the following staff members
who shall approve and recommend assignment:
(a) Employee’s assistant chief;
(b) Chief of Patrol Support – for police only; and
(c) Employee’s chief.

Question 16

Who makes the final determination of approval and assignment when someone is requesting or on temporary limited duty?
A. Rank

Answer 16

(2) The employee’s director makes the final determination of approval and assignment.
The electronic Form SP-1217 (Request for Temporary Medical Limited Duty) will
then be electronically routed to the JSO Medical Section designee.

Question 17

Temporary Limited Duty
(3) With the approval of their _________________ or _______________, the employee may temporarily
work in a limited capacity within their respective assignment until their ________________ makes an official limited duty assignment.
A. Rank
B. Rank
C. Rank

Answer 17

Temporary Limited Duty
(3) With the approval of their assistant chief or chief, the employee may temporarily
work in a limited capacity within their respective assignment until their director makes an official limited duty assignment.

Question 18

(4) If an employee is placed on temporary limited duty on a Friday evening or on the weekend, an electronic Form SP-1217 (Request for Temporary Medical Limited Duty) must be completed by the employee and routed through their _____________________ as indicated in this order. Patrol personnel must have their _________________ contact the ______________________________ in order to facilitate the employee’s transfer to the Tele-Serv Unit for a light duty assignment until the _________________________________ can make a final determination.
A. Rank
B. Rank/Position
C. Rank/Position
D. Rank/Position

Answer 18

(4) If an employee is placed on temporary limited duty on a Friday evening or on the weekend, an electronic Form SP-1217 (Request for Temporary Medical Limited Duty) must be completed by the employee and routed through their chain of command as indicated in this order. Patrol personnel must have their commanding officer contact the Commanding Officer of Tele-Serv Unit in order to facilitate the employee’s transfer to the Tele-Serv Unit for a light duty assignment until the
Director of Patrol & Enforcement can make a final determination. The employee may instead elect to take their leave until the respective director makes an official limited duty assignment.

Question 19

Employees on temporary limited duty who are authorized to carry a firearm and are physically and mentally capable may continue to do so as long as what?
1.
2.

Answer 19

(6) Employees on temporary limited duty who are authorized to carry a firearm and are physically and mentally capable may continue to do so as long as the firearm is concealed and they are current with their firearm certification.

Question 20

An employee on temporary limited duty shall not be assigned a take-home vehicle and shall only be allowed to drive a JSO vehicle during work hours after receiving approval from __________________.

Additionally, who’s responsibility is it to take possession of the temporary limited duty officer’s vehicle?
A. Rank

Answer 20

(7) An employee on temporary limited duty shall not be assigned a take-home vehicle and shall only be allowed to drive a JSO vehicle during work hours after receiving approval from a chief or higher authority. It is the responsibility of the employee’s unit commanding officer to take possession of the officer’s assigned vehicle.

Question 21

(10)The applicable ____________, in conjunction with the _______________________, shall review the employee’s medical, physical, or psychological restrictions and identify if a temporary assignment is suitable for the employee.
A. Rank
B. Unit

Answer 21

(10)The applicable director, in conjunction with the JSO Medical Section designee, shall review the employee’s medical, physical, or psychological restrictions and identify if a temporary assignment is suitable for the employee.

Question 22

Temporary Limited Duty
(11)Prior to the employee’s assignment, the ____________________________ shall be notified by the JSO Medical Section designee of the employee’s work restrictions. This information is confidential and cannot be furnished to other members of JSO.
A. Rank/Position

Answer 22

Temporary Limited Duty
(11)Prior to the employee’s assignment, the assigned section commanding officer shall
be notified by the JSO Medical Section designee of the employee’s work restrictions.
This information is confidential and cannot be furnished to other members of JSO.

Question 23

Temporary Limited Duty
Who will reach out limited duty officer after placement has been made?

Answer 23

Temporary Limited Duty
(12)After review of the employee’s work assignment and restrictions, and after it is
determined the employee can perform the functions of the temporary assignment,
the employee shall be temporarily transferred to that unit’s roll call. The assigned
unit commanding officer shall notify the employee of their limited duty assignment
and shift.

Question 24

(13)Any requested change from the temporary limited duty assignment must be approved, in writing, by the applicable _______________. It shall be the responsibility of the JSO Medical Section designee to contact the appropriate supervisor and provide information regarding the required work restrictions.
A. Rank

Answer 24

(13)Any requested change from the temporary limited duty assignment must be approved, in writing, by the applicable director. It shall be the responsibility of the JSO Medical Section designee to contact the appropriate supervisor and provide
information regarding the required work restrictions.

Question 25

Prior to return to full duty, employees shall bring a physician’s release statement to
the JSO Medical Section designee. The JSO Medical Section designee shall review the circumstances surrounding the temporary limited duty and notify who if a release from the COJ Medical Review Officer should also be obtained?
A. Rank/Position

Answer 25

(14)Prior to return to full duty, employees shall bring a physician’s release statement to
the JSO Medical Section designee. The JSO Medical Section designee shall review the circumstances surrounding the temporary limited duty and notify the Chief of Human Resources if a release from the COJ Medical Review Officer (MRO) should
also be obtained. If it is determined that a release from the MRO is needed, the employee cannot be released to full duty until cleared by the MRO.

Question 26

When an employee is released to full duty, the JSO Medical Section designee shall notify the employees’ ______________________ of the approved release, and the ___________________ shall transfer the employee to the appropriate roll call. No employee shall return to their permanent assignment without the authorization from their ____________________.
A. Rank
B. Rank
C. Rank

Answer 26

(15)When an employee is released to full duty, the JSO Medical Section designee shall notify the employees’ commanding officers of the approved release, and the current supervisor shall transfer the employee to the appropriate roll call. No employee shall return to their permanent assignment without the authorization from their commanding officer.

Question 27

(16)If an employee is released to full duty and subsequently requests additional light duty, they shall be deemed to have the same temporary limited duty status start date as the initial request, as not to exceed the _________________ maximum.
A. Time Frame

Answer 27

(16)If an employee is released to full duty and subsequently requests additional light duty, they shall be deemed to have the same temporary limited duty status start date as the initial request, as not to exceed the one-year maximum.

Question 28

Limited Duty
(17)Employees must work full duty for _________________ before they are eligible for limited duty status again.
A. Time Frame

Answer 28

Limited Duty
(17)Employees must work full duty for one year before they are eligible for limited duty
status again.

Question 29

(18)With the exception of injuries or illnesses sustained as a result of an IOD, employees must be full duty status for ______________ to be eligible for temporary medical limited again.
A. Time Frame

Answer 29

(18)With the exception of injuries or illnesses sustained as a result of an IOD, employees must be full duty status for one full year to be eligible for temporary medical limited again.

Question 30

G. Return to Duty
1. If an injury requires a ________ medical visit, upon the employee returning to full duty, any
paperwork provided by the treatment facility shall be forwarded to the JSO Medical Section
designee.
A. Number

Answer 30

G. Return to Duty
1. If an injury requires a one-time medical visit, upon the employee returning to full duty, any
paperwork provided by the treatment facility shall be forwarded to the JSO Medical Section
designee.

Question 31

When an employee is released to full duty, the JSO Medical Section designee shall notify the employee’s _____________________ of the approved release, and the ___________________________ shall transfer the employee to the appropriate roll call. No employee shall return to their permanent assignment without the authorization from their _________________________.
A. Rank
B. Rank
C. Rank

Answer 31

G. Return to Duty
3. When an employee is released to full duty, the JSO Medical Section designee shall notify the
employee’s commanding officers of the approved release, and the current supervisor shall transfer the employee to the appropriate roll call. No employee shall return to their permanent assignment without the authorization from their commanding officer.

Question 32

Only JSO _________________________ can enter an employee as IOD in EIS. Until such time that the ________________ enters IOD in EIS, _____________ are responsible for entering leave for the employee (i.e., SL, CL, etc.), and entering “_____” in the Supervisor Comment section. Once the documents and times are received, applicable leave shall be revoked and resubmitted as IOD (paid at 100%).
A. Unit
B. Rank
C. Rank
D. Text

Answer 32

3. Absence on regular working days due to necessary treatment for an injury or illness shall be documented on the roll call as “IOD” via EIS. All leave requests for IOD are to be sent to the JSO Worker’s Compensation email account located in Outlook as OccupationalHealthManager@jaxsheriff.org and must include applicable medical documents and times the employee was away from work for treatment. Only JSO Human Resources Division employees can enter an employee as IOD in EIS. Until such time that the JSO Medical Section designee enters IOD in EIS, supervisors are responsible for entering leave for the employee (i.e., SL, CL, etc.), and entering “IOD” in the Supervisor Comment section. Once the documents and times are received, applicable leave shall be revoked and resubmitted as IOD (paid at 100%).

Question 33

4. On an employee’s regular workday during their regular work hours, they are allowed a
   maximum of ________________ hours for Workers’ Compensation appointments, with the
   exception of emergency room visits, unless there is some reasonable circumstance approved by ___________________________ that requires additional time to be spent at an appointment or travelling to or from treatment.
   A. Time Frame
   B. Rank/Position

Answer 33

4. On an employee’s regular workday during their regular work hours, they are allowed a
   maximum of two and a half hours for Workers’ Compensation appointments, with the
   exception of emergency room visits, unless there is some reasonable circumstance approved by Chief of Human Resources that requires additional time to be spent at an appointment or travelling to or from treatment.

Question 34

H. Compensation for Injury or Death [CALEA 22.1.5]
6. If the employee has not returned to duty after _______________ days, the JSO Human Resources
Division shall transfer the employee to an IOD roll call via EIS.
A. Time Frame

Answer 34

H. Compensation for Injury or Death [CALEA 22.1.5]
6. If the employee has not returned to duty after 30 calendar days, the JSO Human Resources
Division shall transfer the employee to an IOD roll call via EIS.